作　　者： ; ; ; ;

机构地区： 珠海市妇幼保健院

出　　处： 《临床医学研究与实践》 2019年第23期39-40,共2页

摘　　要： 目的探讨腹腔镜阑尾切除术治疗妊娠合并急性阑尾炎的临床效果。方法回顾性分析2016年3月至2019年3月在本院诊断为妊娠合并急性阑尾炎的72例患者的临床资料,按照不同的手术方式将患者分为观察组(n=38,腹腔镜阑尾切除手术)和对照组(n=34,开腹阑尾切除手术)。比较两组的治疗效果。结果观察组手术时间、术中出血量、排气时间、住院时间、疼痛评分、切口感染率及术后止痛率均明显优于对照组,差异具有统计学意义(P<0.05);术后随访1个月,两组患者均未发现流产、早产和死胎。结论相较于开腹阑尾切除术,腹腔镜阑尾切除术在治疗妊娠合并急性阑尾炎患者中,具有创伤小、恢复快、效果好等明显优势,可作为妊娠期急性阑尾炎的首选治疗方法,值得临床应用。 Objective To investigate the clinical effect of laparoscopic appendectomy in the treatment of pregnancy complicated with acute appendicitis.Methods The clinical data of 72 patients diagnosed with pregnancy complicated with acute appendicitis in our hospital from March 2016 to March 2019 were retrospectively analyzed.The patients were divided into observation group(n=38,laparoscopic appendectomy)and control group(n=34,open appendectomy)according to different surgical methods.The therapeutic effects of the two groups were compared.Results The operation time,intraoperative bleeding volume,exhaust time,hospital stay,pain score,the incision infection rate and postoperative analgesia rate of the observation group were significantly better than those of the control group,the difference were statistically significant(P<0.05).After 1 month follow-up,no abortion,premature delivery and stillbirth were found in both groups.Conclusion Compared with open appendectomy,laparoscopic appendectomy in the treatment of pregnancy complicated with acute appendicitis has obvious advantages,such as small trauma,rapid recovery,good effect,etc.It can be used as the first choice of treatment for acute appendicitis in pregnancy,which is worthy of application in clinic.

关 键 词： 妊娠 急性阑尾炎 腹腔镜阑尾切除术 开腹阑尾切除手术

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